As HBsAg clearance is uncommon in chronic hepatitis B (CHB) patients on nucleoside analogues (NAs) therapy. The purpose of this study is to optimize HBsAg clearance in CHB Patients with sequential treatment of pegylated interferon alpha and NAs.
In order to optimize HBsAg clearance in CHB patients with low level HBsAg, the investigators enrolled patients who had received, and responded to, NAs for more than 12 months(see the inclusion criteria), and patients are switched to receive peginterferon alfa-2a 180 micrograms/week or peginterferon alfa-2b 80 micrograms/week. The longest course of treatment is 96 weeks. After treatment, patients will be followed up for 24 weeks. During the 96 weeks course of treatment, HBsAg level will be monitored. When HBsAg level is less than 0.05 IU/mL, peginterferon treatment will be stopped and patients will receive 24 weeks follow up.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
peginterferon alfa-2b or peginterferon alfa-2a
Nucleoside analogues
The third affiliated hospital of Sun Yat-sen University
Guangzhou, Guangdong, China
RECRUITINGHBsAg Clearance
Percentage of Participants with HBsAg \<0.05 IU/mL.
Time frame: 120 weeks
HBsAg Seroconversion
Percentage of Participants with HBsAg \<0.05 IU/mL and anti-HBsAg positive.
Time frame: 120 weeks
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